Thomas Waller in Jacksonville - Family Medicine
Thomas Waller - NPI 1629066857
Thomas Waller is a Family Medicine in Jacksonville, Florida. Thomas Waller practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Thomas Waller is 1629066857. The last update date is 2020-08-28.
Thomas Waller's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Thomas Waller is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Waller |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629066857 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2020-08-28 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME74184 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identification code assigned to Thomas Waller by the Centers for Medicare & Medicaid Services?
The Thomas Waller has been issued the NPI (National Provider Identifier) 1629066857. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Thomas Waller is located?
The Thomas Waller is situated at the following address: 4500 San Pablo Rd S, Jacksonville, FL, 322241865.
What is Thomas Waller's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Thomas Waller is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
When did the Thomas Waller receive its 1629066857?
The Thomas Waller was issued its 1629066857 on 2005-10-11, which is the date when the organization was assigned this unique identifier.
When was the information related to Thomas Waller most recently updated or refreshed?
The details pertaining to the Thomas Waller, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-28.
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